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General NPI Number Information
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NPI Number | 1679783351
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Entity Type | Organization
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Legal Business Name | BETHANY J GEYMAN DDS INC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4450 WESTON POINTE DRIVE SUITE 100
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City | ZIONSVILLE
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State | IN
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Zip | 46077
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Country | US
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Telephone | 317-733-0571
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Fax |
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Provider Business Mailing Address
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Address Line | 4450 WESTON POINTE DRIVE SUITE 100
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City | ZIONSVILLE
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State | IN
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Zip | 46077
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Country | US
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Telephone | 317-733-0571
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | BETHANY J GEYMAN
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Credential | DDS
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Telephone | 317-733-0571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12010303A
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License Number State | IN
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